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MARION COUNTY BUILDING INSPECTION <br /> SENATOR BLDG. NO. 225 <br /> 220 HIGH STREET NE <br /> SALEM, OREGON 97301 <br /> <br /> PHONE: 588~5147 8:00 - 4:30 <br />24 HOUR CODE-A-PHONE: 588-7904 <br /> <br />lamareglsteredbuiiderOR( )theauthorizedrep~esentatwe <br />Other <br /> <br /> DATE: ].0/e?/9:~ TIME: <br /> <br />SITUS ADDRESS: CONSTRUCTION TYPE; <br /> '5-N M-1 <br /> AUMSVILLE2;~8 BELLEVUE DR OR 97;~25-- 80 <br /> i <br /> ~N~ OF BEDrOOmS: <br />USE OF su,Lm~SiDENTiAL ACCESSORY STRUCTURES <br /> <br /> HILL [;REEK ESTATES <br /> AGENT~ 6R~26 LUCAS/S~NT~M HONE~ .................................. <br /> 7~9-7744 ~ITE HU~ER: <br /> PHONE: VALUA'f~ON: <br /> <br />TYPE: BUILDING PERMIT OR APPLICATION NO: <br /> <br />~ONTRA~TOR~ ~0. 42256 <br />~18 Valleywood Dr SE <br />Salem~ <br />PHONE: <br /> <br /> ITEM <br />BUILDING FEE <br />PLAN REVIEW <br />BUILDING STATE SURCHARGE <br /> <br />ARCHITECT/ENGINEER, NO. <br /> <br />PHONE: <br /> <br />TOTAL ASSESSED FEES <br />PREVIOUS RECEIPTS <br />THIS RECEIPT <br /> <br />QUANTITY <br /> <br />AMOUNT <br /> $~8.50 <br /> $25.07 <br /> <br /> S0,,00 <br />$65.46 <br /> <br /> PAYEE. Del McCormick ~ ~ 5292~ <br /> <br />* THIS IS NOT A PERHIT. THIS APPLICATION HUST ~O THROUGH A REVIEW PROCESS WHERE THE <br />FOLLOWING NUST BE CONPLETE9. IT IS THE 'RESPONSIBILITY OF THE APPLICANT TO ASSURE THAT <br /> LL NECESSARY ~NFORH~TION HAS BEEN PROVIB~. <br /> <br />PI. AN REVIEW: BY__~ .... DATE <br />ZONING: BY DATE <br /> <br />CITY JURISDICTION: ~Y ........ DATE <br />REMARKS] CARPORT <br /> <br />HEIGHT:1 SETBACKS: FR 11 <br />TOTAL SQFT:0 300 LS-10 <br />STORIES: :L RE-:LO <br />PLAN,ACTION: RR'"10 <br />ENERGY PATH: SP~ .... <br /> <br />OFF[CECOFY <br /> <br /> <br />